Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal

Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2003 Page 4

Timetable:

Program Start Date: ____/____/____

Program Completion Date: ____/____/____

NOTE:

A certified post-project review is due to the municipality overseeing implementation no later than three

months after program completion date for all projects receiving $25,000 or more in NAA funding.

Month your annual accounting period ends: _____________

Method of accounting:

Cash

Accrual

PART III — FINANCIAL INFORMATION

Program Budget:

Complete in full.

Sources of Revenue:

NAA Funds Requested

_________________

Other Funding Sources (itemized sources):

_________________

Total Funding:

Proposed Program Expenditures:

Direct Operating Expenses (itemized description):

_________________

Administrative Expenses:

Professional Fund-raising Fees

_________________

Accounting/Legal & Other Expenses (itemized):

_________________

Total Proposed Expenditures:

Form NAA-01 (Rev. 3/03)

Page 4 of 5

Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2003 Page 4